Organization
INTEGRATED REGIONAL LABORATORIES PATHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAMAINE DAVIS (COO)
(561) 402-4256
Entity
Organization
Contact information
Practice address
3194 W NINE MILE RD, PENSACOLA, FL 32534-9476
(850) 494-3212
Mailing address
PO BOX 741087, ATLANTA, GA 30374-1087
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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